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1295945772
CHARLES S TATUM
PRATTVILLE, AL
NPI
1295945772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AL 2828)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
Dr. CHARLES S TATUM d.m.d.
597 S MEMORIAL DR
PRATTVILLE, AL 36067-3630
Phone number: 334-365-9732
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Mailing Address
Dr. CHARLES S TATUM d.m.d.
597 S MEMORIAL DR
PRATTVILLE, AL 36067-3630
Phone number: 334-365-9732
Copy
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